North Branch Area High School Lifetime Achievement Hall of Fame
Nomination Form
Mission
It is the purpose and goal of the NBHS Alumni Associationto recognize North Branch Area High School alumni who have distinguished themselves by their achievement in their field of work or study, their significant contributions in theirservice to their community and to society as a whole, and their personal excellence and dedication to lifelong learning. By honoring these positive role models, we hope to provide inspiration to our current students regarding the value of education and citizenship and the possibilities to which it may lead.
The deadline for nominations is March 1st of each year
Submitted by:
Name: _____________________________________________________________________________________
Address: ____________________________________________________________________________________
Phone: ________________________________
Email: _____________________________________________
Please complete as much as possible of the information requested.
If desired, all of the information can be included in the narrative rather than in the questionnaire sections
Nominee
Name: _____________________________________________________________________________________
Address: _____________________________________________________________________________________
Phone: _________________________________ ( if still alive )
Email: ______________________________________________
Years attending North Branch schools: _________________ High School Graduation Year:___________
High School Accomplishments (Awards, Honors, Extracurricular Activities)
Secondary Education Accomplishments (College, Graduation Year, Degree, Awards, Honors, Extracurricular Activities)
Employment History & Accomplishments (Awards & Honors)
Professional Awards, Honors & Achievements
Community Service / Philanthropy
Military Service (Years of Active Duty, Honors/Awards, Comments)
Please attach a narrative or brief statement (no minimum / 500 word limit) explaining your reasons for the nomination.
Nominations will be held open / considered for 5 years
Nomination deadline is March 1st
_____________________________________________ ____________________
Nominators Signature Date
Email the completed form & any attachments to: nbalumni@yahoo.com
Or Mail this form & all additional information to:
North Branch High School Alumni Association
PO Box 613
North Branch, MN 55056